How much rates vary
Facilitymedian $2,089 · 10th to 90th $631 to $5,888Professionalmedian $813 · 10th to 90th $589 to $4,677
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $6,760.83 | Facility | None | $977.24 | $3,715.35 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $891.25 | Professional | None | $588.84 | $794.33 | $891.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $3,467.37 | Facility | None | $549.54 | $1,318.26 | $3,467.37 |
BCBS Arizona Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,995.26 | Professional | None | $676.08 | $1,047.13 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $6,309.57 | Facility | None | $691.83 | $3,162.28 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,288.25 | Professional | None | $602.56 | $831.76 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,621.81 Typical High $16,218.10 | Facility | None | $660.69 | $1,621.81 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $4,677.35 Typical High $6,456.54 | Professional | None | $741.31 | $4,677.35 | $6,456.54 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,288.25 | Professional | None | $575.44 | $758.58 | $1,288.25 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $295.12 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $117.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $436.52 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $87.10 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $58.88 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $407.38 | $549.54 | $549.54 |
Where Arizona sits
The same service costs 4.2 times more in Alaska than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $9,027MT $2,148
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.